This forum is for discussion of politics, diplomacy, law, and justice
- Posts: 7271
- Joined: Wed Aug 20, 2008 1:30 am
This article is interesting
This does not mean that prices play no role whatsoever in international comparisons of NHE. It does not mean, for instance, that if we could somehow force U.S. physicians, nurses, and various other workers in the health care sector to work for the real remuneration paid to their counterparts in, say, Brazil with equal productivity that the price of medical care, especially more labor intensive categories, would not plummet (presumably real NHE could decrease if volume were hold constant…. not a very safe assumption imo). It means that the reason health expenditures have accounted for an increasing share of our consumption (or income) over time has little to do with prices increasing relative to income and a great deal to do with the volume of health goods & services consumed rising at a faster rate than overall consumption (or income) per capita.
In no case do I find evidence of a large departure from trend in any broad, highly impactful, index of health price levels that would suggest that high US NHE isn’t overwhelmingly explained by high volumes of (real) health care consumption. More generally, the cross-sectional and time series data are actually quite consistent with each other, i.e., the issues that drive (US) expenditures up in time series are quite consistent with and related to the what we observe in cross sectional analysis between countries.
Essentially his argument is that the US spends a lot of money on health care because people in the US actually use a lot of health care and they have money to spend on health care. It's long an involved, but, it's probably worth a read.
The avalanche has already started. It is too late for the pebbles to vote.
- Posts: 8980
- Joined: Tue Aug 19, 2008 4:13 am
Sooo... Macro Econ 101? See figure 1 on page 3, "Supply_Demand Curve."
"The Guncounter: More fun than a barrel of tattooed knife-fighting chain-smoking monkey butlers with drinking problems and excessive gambling debts!"
"The right of the citizens to keep and bear arms has justly been considered, as the palladium of the liberties of a republic;" Justice Story
- Posts: 3253
- Joined: Fri Sep 19, 2008 4:05 pm
This is actually a well known fact, however not too many people want to acknowledge it.
There are both good and bad aspects of it, especially relative to those at the left end of the financial bell curve.
- Posts: 8186
- Joined: Tue Aug 19, 2008 2:15 pm
There are regulatory and compliance issues that drive up costs, we can't ignore those completely.
But yes I can believe it. We use a hell of a lot of health care, and have come to expect it. Which is actually a problem, because anything subsidized you'll get more of and anything 'free' will be wasted.
So our obsession with subsidizing healthcare costs means we use more, and when we go so far as to cover the costs completely, usage becomes abusive and wasteful. (EMTALA horror stories, anyone?)
Any system that hides actual costs, insulates people from the actual costs of their activities, is bound to turn into a nightmare eventually.
Maybe we're just jaded, but your villainy is not particularly impressive. -Ennesby
If you know what you're doing, you're not learning anything. -Unknown
Sanity is the process by which you continually adjust your beliefs so they are predictively sound. -esr
- Posts: 4718
- Joined: Tue Aug 19, 2008 5:32 am
Greg wrote:Any system that hides actual costs, insulates people from the actual costs of their activities, is bound to turn into a nightmare eventually.
Exhibit A, the California Electric utilities in 2003-4.
The use of the word "but" usually indicates that everything preceding it in a sentence is a lie.
"I believe in Freedom of Speech, but". . .
"I support the Second Amendment, but". . .
- Posts: 11034
- Joined: Wed Aug 20, 2008 3:05 am
HTRN, I would tell you that you are an evil fucker, but you probably get that a lot ~ Netpackrat
Describing what HTRN does as "antics" is like describing the wreck of the Titanic as "a minor boating incident" ~ First Shirt